NURS 325 Perioperative Nursing Questions With Complete
Solutions
A patient's family history reveals that the patient may be at risk
for malignant hyperthermia (MH) during anesthesia. The nurse
explains to the patient that
Answer
A. anesthesia can be administered with minimal risks with the
use of appropriate precautions and medications.
B. surgery can only be performed under local anesthetic to
prevent development of a sudden, extreme increase in body
temperature.
C. surgery will be delayed until the patient undergoes genetic
testing to determine whether she is susceptible to malignant
hyperthermia.
D. as long as succinylcholine (Anectine) is administered as a
muscle relaxant, the reaction should not occur. Correct Answers
A. anesthesia can be administered with minimal risks with the
use of appropriate precautions and medications.
How should an unconscious patient be positioned in the Post
Anesthesia Care Unit (PACU)?
Answer
A. Supine with head of bed elevated 45 degrees
B. Lateral (side-lying)
C. Supine with head of bed flat
D. Prone Correct Answers B. Lateral (side-lying)
Postoperatively, urine output should be at least
Answer
,A. 1 mL/kg/hr
B. 0.25 mL/kg/hr
C. 0.5 mL/kg/hr
D. 2 mL/kg/hr Correct Answers C. 0.5 mL/kg/hr (approx. 30
mL per hour)
Surgery is almost completed for the patient, and the surgeon
prepares to close a large abdominal incision. What will the scrub
nurse prepare to do?
Answer
A. Document the amount of blood loss and urine output during
surgery.
B. Notify the PACU staff that the patient will be arriving soon.
C. Extubate the patient.
D. Hand sutures or skin stapler to the surgeon. Correct
Answers ...
The circulating nurse performs which of the following
functions? (Select all that apply)
Answer
A. Passes instruments to the surgeon.
B. Documents the assessment and plan of care.
C. Scrubs, gowns, and gloves self and other members of the
team.
D. Reports relevant information to the nurses in the PACU.
Correct Answers ...
The nurse is caring for a patient who had surgery 24 hours ago.
Which is the best indicator for the nurse to know that the
patient's pain is well controlled?
Answer
, A. The patient states she has no pain.
B. The patient is sleeping.
C. The patient's respiratory rate is 8 breaths per minute.
D. The patient received pain medication two hours ago. Correct
Answers A. The patient states she has no pain.
The perioperative nurse is supervising the surgical technologist
before the arrival of the patient in the operating room. Which
action, if taken by the surgical technologist, would require the
nurse to intervene?
Answer
A. The surgical technologist holds hands away from the body
and above the elbows at all times.
B. The surgical technologist scrubs the fingers and hands first
followed by the forearms and elbows.
C. Once wearing a sterile gown and gloves, the surgical
technologist organizes the equipment on the sterile field.
D. After a surgical scrub, the surgical technologist puts on a
sterile gown and one pair of sterile gloves. Correct Answers B.
The surgical technologist scrubs the fingers and hands first
followed by the forearms and elbows.
What is the purpose of giving atropine, an anticholinergic
medication, prior to surgery?
Answer
A. To decrease oral and respiratory secretions
B. To decrease anxiety
C. To relieve pain
D. To increase gastric emptying Correct Answers A. To
decrease oral and respiratory secretions
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